Video: Dab tsi ua rau Sideroblastic anemia?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Ua rau suav nrog ntau dhau siv cawv (qhov feem ntau ua rau mob sideroblastic anemia), pyridoxine deficiency (vitamin B6 yog cofactor nyob rau hauv thawj kauj ruam ntawm heme synthesis), lead lom thiab tooj liab deficiency.
Hais txog qhov no, cov tsos mob ntawm Sideroblastic anemia yog dab tsi?
Cov cov cim thiab Cov tsos mob ntawm sideroblastic anemia Tej zaum yuav muaj xws li: qaug zog, qaug zog, hnov lub plawv dhia lossis sib tw lub plawv (palpitations), ua tsis taus pa, mob taub hau, chim siab, thiab mob hauv siab.
Ib qho ntxiv, puas yog Sideroblastic anemia tau txais? X-txuas sideroblastic ntshav yog ib tau txais qub txeeg qub teg teeb meem uas tiv thaiv kev tsim cov qe ntshav liab (erythroblasts) los ntawm kev ua kom txaus hemoglobin, uas yog cov protein uas nqa cov pa oxygen hauv cov ntshav. Qhov teeb meem no tseem ua rau muaj qhov txawv txav ntawm cov hlau hauv cov qe ntshav liab.
Ib yam li ntawd, vim li cas cov ntshav ntshav siab hauv Sideroblastic anemia?
Vim hlau Tsis siv neeg hloov pauv saturation yog nce (> 80%) thiab ntshav qab zib LDH yog nce (tsis muaj txiaj ntsig erythropoiesis). Kev hloov ntshav yuav tsim nyog vim yog qhov tsis zoo ntawm erythropoiesis sideroblastic anemia . Hauv lub sijhawm hlau tshaj yuav ua teeb meem.
Yuav kho tus Sideroblastic anemia li cas?
Kev kho mob ntawm sideroblastic anemia yuav suav nrog cov hauv qab no: Tshem tawm cov tshuaj lom. Kev tswj hwm pyridoxine, thiamine, lossis folic acid. Hloov ntshav (nrog rau cov tshuaj tua kab mob yog tias hlau ntau dhau los ntawm kev hloov ntshav)
Pom zoo:
Dab tsi yog lub hauv paus ntawm lub cev rau amenorrhoea tom qab xeeb menyuam thiab lwm yam dab tsi uas tuaj yeem ua rau amenorrhoea?
Amenorrhea cov lus tseeb Genetic los yog yug hauv tsev yog qhov ua rau pom thawj zaug ntawm tus mob amenorrhea. Amenorrhea tuaj yeem tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm zes qe menyuam, pituitary caj pas, hypothalamus, lossis lub tsev menyuam. Kev qoj ib ce hnyav, hnyav hnyav, mob lub cev, thiab kev nyuab siab tuaj yeem ua rau muaj kev tsis txaus ntseeg
Dab tsi yog qhov txiaj ntsig ib txwm rau PaO 2 Dab tsi yog qhov txiaj ntsig rau kev txiav txim siab qhov hnyav ntawm hypoxemia?
Zoo li feem ntau qhov kev kho mob ib txwm muaj txiaj ntsig thiab ntau yam, lub ntsiab lus tuaj yeem sib txawv me ntsis, tab sis feem ntau cov ntsiab lus hauv qab no siv: Ua rau me me hypoxemia: PaO2 = 60 txog 79 mmHg. Qhov nruab nrab hypoxemia: PaO2 = 40 txog 59 mmHg. Hypoxemia hnyav: PaO2 <40 mmHg
Dab tsi yog lub hauv paus pathophysiologic ua rau Sideroblastic anemia?
Txheej txheem cej luam. Sideroblastic anemia tshwm sim vim muaj qhov tsis xws luag ntawm heme synthesis pathway. Tsis tas li ntawd, qhov tsis xws luag hauv txoj kev hlau sulfur lossis lwm txoj hauv kev tseem ceeb hauv mitochondria ntawm erythroblasts, uas cuam tshuam rau heme ntau lawm, yog lub luag haujlwm rau pathogenesis ntawm sideroblastic anemia
Sideroblastic anemia kuaj tau li cas?
Kev kuaj mob. Sideroblastic anemia yog xav tias nyob rau hauv cov neeg mob uas muaj microcytic anemia los yog siab RDW anemia, tshwj xeeb tshaj yog muaj zog hlau, serum ferritin, thiab transferrin saturation (saib Iron Deficiency Anemia). Cov tshuaj pleev ib ce qhia pom RBC dimorphism
Dab tsi ua rau tub ceev xwm saib xyuas tshuaj rau dab tsi?
Qhov feem ntau raug zam txim thiab raug tshuaj ntsuam xyuas thiab ntsuas cawv yog: 5-panel panel drugurine test, uas txheeb xyuas cov zis zis rau cov yeeb tshuaj xas, cocaine, PCP, amphetamines, thiab opiates. Ntau qhov kev sim tshuaj ntsuam xyuas kev sim tshuaj kuj tseem ntxiv cawv rau 5-paneltest